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Updated: Jun 26, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Interventional cardiovascular magnetic resonance: still tantalizing
Kanishka Ratnayaka1, Anthony Z Faranesh, Michael A Guttman
1Translational Medicine Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland, USA. ratnayakak@nhlbi.nih.gov
Interventional cardiovascular MR (iCMR) offers significant potential but faces challenges. This review outlines practical steps for establishing iCMR labs to realize its clinical benefits.
Area of Science:
- Cardiovascular Imaging
- Medical Technology
- Interventional Radiology
Background:
- Despite theoretical advantages, Magnetic Resonance (MR) guidance is underutilized in clinical cardiovascular interventions.
- Numerous procedures have been successfully simulated in animal models, highlighting potential applications.
Purpose of the Study:
- To review the technical and clinical considerations for implementing interventional cardiovascular MR (iCMR).
- To provide guidance on establishing a clinical-grade iCMR laboratory.
- To discuss the future realization of iCMR's potential in patient care.
Main Methods:
- Review of current literature and simulated procedures.
- Analysis of technical requirements for iCMR systems.
- Discussion of clinical workflow and safety protocols.
Main Results:
- The practical implementation of iCMR labs requires careful planning regarding infrastructure and personnel.
- Addressing technical hurdles is crucial for widespread clinical adoption.
- Successful animal model simulations indicate a promising future for iCMR.
Conclusions:
- The full potential of MR guidance in cardiovascular interventions is achievable in the near future.
- Establishing dedicated iCMR laboratories is a key step towards clinical integration.
- This review offers a perspective on the current state-of-the-art and future directions for iCMR.
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